| Northwoods Dental Clinic | |
|
405 Henrietta Ave S Park Rapids MN 56470-2278 | |
| (218) 732-1414 | |
| (218) 732-7519 |
| Full Name | Northwoods Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 405 Henrietta Ave S, Park Rapids, Minnesota |
| Authorized Official Name and Position | Bonnie Moeller (TREASURER / OWNER) |
| Authorized Official Contact | 4252561728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwoods Dental Clinic Po Box 6 Park Rapids MN 56470-0006 Ph: (218) 732-1414 | Northwoods Dental Clinic 405 Henrietta Ave S Park Rapids MN 56470-2278 Ph: (218) 732-1414 |
| NPI Number | 1063834620 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 01/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063834620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D13314 (Minnesota) | Primary |
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